Medical Economics July 2, 2025
Key Takeaways
- ACP calls for standardized risk adjustment methods to reduce confusion and administrative burden, enhancing physician engagement with patients.
- Investment in health IT and shared data standards like FHIR is crucial for better interoperability and accurate patient health assessments.
- Incorporating social health drivers in risk models addresses disparities, while preventing system gaming aligns economic incentives with patient care.
- Responsible use of AI and hybrid models can improve risk adjustment accuracy, focusing on real-time patient health and complex care needs.
A new policy paper from the American College of Physicians lays out eight recommendations to modernize risk adjustment, reduce administrative waste and better serve high-risk patients.
The American College of Physicians (ACP) is calling for big changes to...
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